Advanced Primary Care Management

Integrate population-based care management without an organizational overhaul

Get reimbursed for the patients who don’t meet other monthly CCM minimum billing thresholds for time spent

Advanced primary care management (APCM) provides a flat-fee per primary care patient per month with no need to track time. APCM codes have the potential to make nearly all consented Medicare patients billable each month – even if they have one or fewer chronic conditions. The less complicated the patient, the less the primary care provider gets compensated (especially compared to potential CCM rates) but APCM providers are still compensated as long as they meet several service elements, many of which they’re already doing.

Although APCM can be billed for patients who are treated for less than 20 minutes, there is a comprehensive list of other service elements to consider in order to support the program. This includes elements such as technology-supported bidirectional communication other than telephone between patients and providers; 24/7 access to care; and a care plan that must be electronically available and shared with the patient or their caregiver. ChronicCareIQ is there to support you with managing those other service elements and working in tandem with EHR functionality to provide a robust APCM program.

How do we help? If you don’t meet the time requirement thresholds for traditional CCM, you are likely eligible for APCM instead. ChronicCareIQ helps you meet at least five of the 13 required service criteria simply by using the platform. Other services are – in most cases – already part of your EHR’s capabilities.

The top benefits of APCM

APCM codes are easier to track than traditional CCM codes because they’re not time-based
Digital engagement requirements are already met with ChronicCareIQ
APCM is co-billable with RPM codes for remote patient monitoring, and behavioral health
Helps primary care providers deliver proactive, continuous care

"CCIQ is such an integral part of our success. We could not have taken on the number of patients that we have without CCIQ. Our program has an incredible impact on the patients,, their families, and our office staff. What we do takes multiple tasks off of the entire clinical floor team on a daily basis. This gives providers more time to perform sick visits, review labs and diagnostics, perform peer to peer reviews, or to chart."

Kristy Townsend, PhD, Better Weighs

Who is APCM for? Everyone

For practices accustomed to a fee for service model, advanced primary care management is an opportunity for a more conservative approach to incorporating population health management without value-based care programs that typically present downside risk.
Patients benefit from enhanced engagement opportunities, while primary care practices benefit from recurring revenue and more proactive care delivery strategies. By keeping patients engaged, practices can later transition them to CCM in the future if needed.

Everything you need to know about maximizing CPT billing

Want to know the ins and outs of new opportunities to boost reimbursements for 2025? Which CPT codes are extensions of others, and which aren’t combinable? How about which programs are affected by the recent elimination of time-based thresholds?

It’s all here in ChronicCareIQ’s comprehensive CPT Billing Code resource guide.

Hear What Our Customers are Saying

ChronicCareIQ has helped tremendously in keeping in touch with our patients on a constant and recurrent basis. It has also helped us improve our quality scores, decrease our emergency room utilization, and also decrease hospitalizations.

Doctors are not going to be able to live without ChronicCareIQ. The convenience and regular contact with patients is the big key going forward.

As a healthcare provider committed to delivering the highest quality of care, ChronicCareIQ has become an indispensable ally in our mission. The platform's impact on patient outcomes, from reducing hospital admissions to enhancing communication and achieving financial success, has exceeded our expectations.

I’ve really been pleased with our patient retention rate with ChronicCareIQ. Patients are very thankful for it and want to continue using it.

At Chesapeake & Washington Heart Care, we've seen remarkable improvements with ChronicCareIQ. It has greatly enhanced the efficiency of our phone interactions and the promptness in updating patient care. This has been vital in providing timely and effective healthcare services to our patients.

With ChronicCareIQ, we are better in touch with our patients, and patients feel better knowing that they have daily or regular contact with our office. We have also seen a significant decrease in office call volume.